Provider Demographics
NPI:1417674037
Name:HIDAYAH WELLNESS LLC
Entity Type:Organization
Organization Name:HIDAYAH WELLNESS LLC
Other - Org Name:HIDAYAH WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-438-4665
Mailing Address - Street 1:5875 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-5407
Mailing Address - Country:US
Mailing Address - Phone:651-246-5305
Mailing Address - Fax:
Practice Address - Street 1:2229 40TH AVE NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-4131
Practice Address - Country:US
Practice Address - Phone:612-438-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health